MEDICARE: JOHNSON HEALTHCARE-SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1427800762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON HEALTHCARE-SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	7127 STONE CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-2866
Country	:	US
Telephone Number	:	440-315-7079
Fax Number	:

Provider Business Practice Location Address
First Line	:	7127 STONE CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-2866
Country	:	US
Telephone Number	:	440-315-7079
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAE-ANNA JOHNSON
Credential	:	FNP-C
Telephone Number	:	440-315-7079

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	04/02/2024

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